• Title/Summary/Keyword: 결석

Search Result 218, Processing Time 0.023 seconds

Gallstones Risk Factor and Prevalence in the Elderly in Jeju Island (제주지역 노인의 담낭결석 유병률 및 위험요인)

  • Sim, Hyun-Sun;Choi, Joon-Lock;Park, Jae-Jin;Lee, Su-Yeon;Lee, Ji-Min;Jung, Hong-Ryang;Lim, Chung-Hwan;Kim, Jung-Gu
    • Journal of radiological science and technology
    • /
    • v.32 no.3
    • /
    • pp.293-298
    • /
    • 2009
  • Background/aim : Gallbladder stone is the most common disease of biliary tract. It is lead to acute abdominal pain. The cholecystitis which is caused by in gallbladder stone occurs frequently and the possibility of the gallbladder cancer comes to be high. Our study was designed to determine the prevalence and risk factors gallbladder stone in a population who community. Materials and Methods : We enrolled a total of 826 (male : 297, female : 529) persons who 60 or older in Jeju-do 10 places from 2008 July one months. The height, weight, liver function tests, lipid profile, fasting blood sugar, were all measurement. They had their gallbladder examined with using ultrasonography. Statistical significance was defined as a p-value less than 0.05. Results : Among 826 persons, gallbladder stone was found in 49 persons (5.9%). The male is 6.1% and the female is 5.8%, the male 1.03 times appeared more highly the female. The body mass index above of 23.0 kg/$m^2$ with the gallbladder stone was 69.3% (p<0.047). Conclusion : The gallbladder stone appeared highly according to age increases. The obesity is the risk factor of gallbladder stone. The weight management and diet control is a possibility of reducing a gallbladder stone creation.

  • PDF

The Effects of Adolescents' Truancy Experience on Self-awareness and Emotional Problems - Based on the Data of Korean Children and Youth Panel Survey(KCYPS) - (청소년의 무단결석 경험이 자아인식과 정서문제에 미치는 영향 - 한국아동·청소년패널 자료를 중심으로 -)

  • Jeon, Gu-Hun
    • The Journal of the Korea Contents Association
    • /
    • v.21 no.6
    • /
    • pp.369-379
    • /
    • 2021
  • The purpose of this study was empirical verification of the effect of adolescents' truancy experience on the self-awareness and emotional problems. For this, using the data of 2016 in the Korean Children and Youth Panel Survey(KCYPS), we compared and analyzed using t-test and multiple regression analysis the self-awareness and emotional problems of adolescents who experienced truancy and adolescents who did not. As a result of the analysis, adolescents with truancy experience had relatively low self-awareness, and statistically significant but low scores in self-identity and career identity. However, there was a clear difference in emotional problems, and truancy adolescents scored high in attention, aggression, physical symptoms, and depression. This proved that adolescents with experience of truancy were more exposed to emotional problems, and it was necessary to develop a support system and program for this.

Extracorporeal Shock Wave Lithotripsy for Proximal Ureter Stone with Complete Obstruction : Analysis of the Appropriate Session for Changing Treatment Modality According to Stone Size (완전 폐색을 동반한 상부 요관 결석에 대한 체외충격파쇄석술 : 결석의 크기에 따른 적절한 치료 전환 시기 분석)

  • Son, Soon-Yong;Lee, Won-Hong
    • Journal of radiological science and technology
    • /
    • v.28 no.4
    • /
    • pp.287-291
    • /
    • 2005
  • To determine the appropriate session for changing treatment modality according to the size of proximal ureter stone with complete obstruction, We analyzed 201 patients with proximal ureter stone primarily treated by Dornier MPL 9000 lithotripter from January, 2002 to August, 2004. Of total 201 patients, the patients without complete obstruction were 142, and with complete obstruction were 59. In the patients without complete obstruction, the accumulative stone free rate of the first, second, and third session were 68.3%, 86.6%, and 94.4%, respectively. The accumulative stone free rate according to the stone size at third session were 100%, 90.5%, 00.0% in stones less than 10 mm, 10 to less than 20 mm, and larger than or 20 mm, respectively. In the patients with complete obstruction, the accumulative stone free rate of the first, second, and third session were 44.1%, 66.1%, and 76.3%, respectively. The accumulative stone free rate according to the stone size at third session were 100%, 65.5%, 33.3% in stones less than 10 mm, 10 to less than 20 mm, and larger than or 20 mm, respectively. In our study, the size of proximal ureter stone with complete obstruction influenced noticeably on the success rate of extracorporeal shock wave lithotripsy (ESWL). We propose that the proximal ureter stones larger than or 10 mm with complete obstruction are treated by ureteroscopic manipulation than ESWL as the first line treatment modality.

  • PDF

A Clinical Review of Broncholithiasis (기관지 결석증의 임상적 고찰)

  • Won, Jun-Hee;Cha, Seung-Ick;Park, Jun-Ku;Kim, Chang-Ho;Park, Jae-Yong;Jung, Tae-Hoon
    • Tuberculosis and Respiratory Diseases
    • /
    • v.42 no.5
    • /
    • pp.677-684
    • /
    • 1995
  • Background: Broncholithiasis is uncommon but clinically important because it may cause a variety of nonspecific symptoms and signs prior to the onset of lithoptysis, and rarely massive hemoptysis. Method: A retrospective clinical study was done on 11 case of broncholithiasis diagnosed at Kyungpook National University Hospital from Jan. 1985 to Dec. 1993. The study investigated the clinical features, radiologic findings, bronchoscopic findings and management. Results: 1) The common symptoms included cough, dyspnea, hemoptysis, fever and purulent sputum. Lithoptysis occurred in 3 patients. 2) The radiologic findings were variable and nonspecific. Hilar calcification and parenchymal calcification were the most common findings. 3) The bronchoscopy was performed in 10 patients and revealed broncholiths in 9 patients. 4) Chemical composition of broncholiths was analyzed in 2 patients. Calcium carbonate was main component. 5) In 6 out of 9 patients in whom broncholiths was revealed by bronchoscopy, broncholiths were successfully extracted through the flexible bronchoscope. 6) In 9 patients, broncholithiasis was related to tuberculosis and in 1 case, related to silicosis. Conclusion: Broncholithiasis shows a variable clinical spectrum. Tuberculosis is the most common cause of broncholithiasis. In the case of no accompanied complication, nonsurgical management such as bronchoscopic removal and conservative therapy is an effective measure.

  • PDF

Classification of Urinary Stone into Uric Acid & Non-uric Acid by Dual-Energy (이중에너지 전산화단층촬영을 이용한 요로결석의 성분 분석에 관한 연구)

  • Myung-Jin Jung;Sung-Gil Kim
    • Journal of the Korean Society of Radiology
    • /
    • v.17 no.6
    • /
    • pp.835-841
    • /
    • 2023
  • The aim of this study is to evaluate the diagnostic ability of dual-energy computed tomography (DECT) for Composition determination of urinary stones in phantom model. Seventeen cases with urinary stones who underwent DECT were enrolled in the study. The composition of the urinary stones was extracted from the seventeen patients were analyzed with DECT in phantom model with fresh pork. The volume scan method using Dual-energy software was used and the scanned image sets were assessed. All 17 urinary stones of the phantom model were analyzed according to the stone composition using DE stone Analysis were divided into uric acid stones (n=6, 35.29%) and non-uric acid stones (n=11, 64.71%). These urinary stones were pathologically confirmed. The mean attenuation values of uric acid stones at 135 kV, 100 kV and 80 kV was 348.87 ± 166.37 HU, 345.33 ± 151.18 HU and 337.94 ± 172.77 HU, respectively. The mean attenuation values of non-uric acid stones at 135 kV, 100 kV and 80 kV was 551.93 ± 297.09 HU, 747.04 ± 351.31 HU and 958.19 ± 424.72 HU, respectively. At 80 kV, uric acid stones and non-uric acid stones showed significant difference in the attenuation values(P<0.05). The attenuation values of DECT could differentiate the compositions of urinary stones between uric acid and non-uric acid stones at 80 kV in phantom model.

Construction of CT Image data Automatic Recognition System for Diagnosis of Urinary Stone Based on AI Plaform (인공지능 플랫폼기반 요로결석진단을 위한 CT 영상 데이터 자동판독 시스템 구축)

  • Noh, Si-Hyeong;Lee, Chungsub;Kim, Tae-Hoon;Lee, Yun Oh;Park, Sung Bin;Yoon, Kwon-Ha;Jeong, Chang-Won
    • Proceedings of the Korea Information Processing Society Conference
    • /
    • 2020.11a
    • /
    • pp.928-930
    • /
    • 2020
  • 본 논문은 인공지능 플랫폼 기반의 요로결석 진단을 위한 CT 영상 데이터 자동판독 시스템에 대해 기술하고자 한다. 제안한 시스템은 웹 기반의 플랫폼을 기반으로 하며, 인공지능 기반의 진단 알고리즘을 장착하여 빠르게 요로결석 환자의 스크리닝에 목적을 두고 있다. 병원정보시스템의 PACS와 EMR과 연계와 Deep learning 진단 알고리즘을 적용한 요로결석 자동판독 시스템을 개발하였다. 특히, 기 구축된 인공지능 플랫폼을 통해 추출한 데이터셋을 기반으로 진단 알고리즘 개발 방법과 수행 결과를 보인다. 제안한 시스템은 요로결석 진단과 수술여부에 의사결정지원 시스템으로 임상에서 활용될 것으로 기대하고 있다.

A Case of Broncholithiasis (기관지결석증 치험 1례)

  • 배홍갑;이웅렬;조태환;성창섭
    • Proceedings of the KOR-BRONCHOESO Conference
    • /
    • 1983.05a
    • /
    • pp.9.1-9
    • /
    • 1983
  • By the technological improvement of bronchoscopy, radiology, and biochemical analysis, the broncholithiasis can be easily diagnosed. But because of its low incidence it has been frequently overlooked in the differential diagnosis of bronchial obstruction, thereby losing the opportunity of early detection and causing complications which are mandatory to surgical intervention. The authors had a case of broncholithiasis which was diagnosed by radiological study of chest and fiberoptic bronchoscopy, and was removed under rigid bronchoscopy.

  • PDF

Thoracicl Actinomycosis Associated with Broncholithiasis -Report on 2 cases- (기관지 결석증을 동반한 흉부 방선균증 -2예 보고-)

  • Lee, Seock-Yeol;Oh, Hong-Cheul;Jeon, Cheol-Woo;Lee, Seung-Jin;Lee, Chol-Sae;Lee, Kihl-Rho;Cho, Hyun-Deuk
    • Journal of Chest Surgery
    • /
    • v.41 no.3
    • /
    • pp.390-394
    • /
    • 2008
  • We report here on two eases of a 48-year old woman and a 46-year-old man who both presented with broneholithiasis and obstructive pneumonitis. Removal of the broncholithiasis failed with bronchofibroscopy, and so right middle lobectomy of the lung were done in the 2 patients. The histopathologic diagnosis was thoracic actinomycosis associated with broncholithiasis. Thoracic actinomycosis associated with broncholithiasis is a very rare condition, so we report here on these two cases of thoracic actinomycosis associated with broncholithiasis.

Cholelithiasis Complicated with Biliary Sludge and Urolithiasis in a Dog (개의 담낭 슬러지와 요 결석증을 동반한 담석증)

  • Lee, Seung-Gon;Kim, Dong-Gun;Lee, Joon-Seok;Kwak, Ho-Hyun;Nam, Hyun-Sook;Woo, Heung-Myong;Park, In-Chul;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
    • /
    • v.23 no.3
    • /
    • pp.325-328
    • /
    • 2006
  • A 10-year-old intact female Miniature Schnauzer dog was referred with the primary complaint of persistent anorexia, remittent fever, vomiting and abdominal pain. Hemogram suggested a chronic inflammatory disease. Serum biochemistry showed moderate hepatobiliary cellular damage with severe cholestasis. Abdominal radiography and ultrasonography revealed hepatomegaly, choleliths and sludges in gall bladder and small stones in urinary bladder. Based on diagnostic findings, the case was diagnosed as cholelithiasis complicated with biliary sludge and urolithiais. Using cholecystectomy and cystectomy, choleliths and uroliths were removed from gall bladder and urinary bladder, respectively. The clinical condition was dramatically improved after surgery.

Identifying Latent Profiles in School Adaptation of School Absentee Adolescents and Testing the Effects of Predictive Variables (학교결석 청소년의 학교적응 유형과 예측요인 검증)

  • Kim, Dongha
    • Korean Journal of Social Welfare
    • /
    • v.66 no.3
    • /
    • pp.5-28
    • /
    • 2014
  • School absenteeism, one of the early warning signs of behavioral problems, has been known to be a complex and heterogeneous problem. However, much of the research assumes that school absentee adolescents comprise a homogeneous group. This study explored the heterogeneity of school absentee adolescents, based on school adaptation, to provide a more nuanced understanding of school absenteeism and examined predictive and risk factors associated with each typology of school absentee adolescents. Latent profile analysis was conducted using sample 477 middle school students who were reported absent in the previous year from the 3rd wave of Korean Children and Youth Panel Study. Multinomial logistic regression and ANOVA was also employed to examine the effects of predictive variables. As a result, three profiles were identified: low, middle, and high adaptive group. Group membership was found to be associated deferentially with gender, mental health, parenting neglect, delinquent friends, and delinquent behaviors. These findings propose more specific and targeted interventions designed to meet the needs and risk factors associated with the different typologies of school absentee adolescents.

  • PDF